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functionalmovement.com
Improving Operational Performance and Injury Prevention Strategies through
Functional Movement Screening
Lee Burton, PhD, ATC, CSCSDirector of Athletic Training: Averett University
Functional Movement Systems
functionalmovement.com
What is Happening???
Injuries are the largest health problem
facing U.S. military forces in peacetime
and combat operations. Resulting in over
1.8 million medical encounters across the
military services, injuries affect more than
800,000 individual service members.
(AJPM, Jan 2010)
functionalmovement.com
What is Happening???
Physical training and sports injuries are of particular concern. Based
on the likelihood of success in decreasing injuries having the
greatest impact on military readiness, the Defense Safety Oversight
Council (DSOC) recommends that the greatest reduction of lost
duty days due to injuries across DoD may be achieved via
mitigation efforts focused specifically on sports-and physical
training related injuries.
Reference: Defense Safety Oversight Council (DSOC,) DoD Military Injury Prevention Priorities Working Group: Leading Injuries, Causes,and Mitigation Recommendations, Feb.2006
functionalmovement.com
Steps in the Injury Control Process•Determine the Existence of the problem
•Identify the Causes of the problem
•Determine what Prevents the problem
•Implement prevention strategies and programs
•Continue to surveillance and monitor effectiveness of prevention efforts
The Public Health Approach, Adapted from Mercy, J.A., M.L. Rosenberg, K.E. Powell, C.V. Broome, and W.L. Roper. “Public Health Policy for Preventing Violence.” Health Affairs, Winter 1993:7-29, and Jones, B.H., and J.J. Knapik. “Physical Training and Exercise-Related Injuries: Surveillance, Research and Injury Prevention in Miitary Populations.” Sports Medicine, 27(2):111-125, 1999.
functionalmovement.com
What Injury are Risk Factors: Can We Affect Them????
Intrinsic factors (personal characteristics): - prior injury: Leaves Neuromuscular Issue!? - physical fitness / activity levels (aerobic fitness) - anatomic malalignment, biomechanical discrepancies, imbalances(Neuromuscular??) - behavioral patterns
Extrinsic (external) factors: - excessive load on the body - poor equipment - training/technique - environmental conditions(Military Medicine, 162, 10:698. 1997)
functionalmovement.com
The Functional SolutionScreen for asymmetry and major limitations
Take care of flexibility and mobility problems: Re-Check
Progress to Functional/Performance Training
Leads to Improved Durability and Operational Performance
functionalmovement.com
Goals for Exercise Prescription and Strength
•Injury Prevention: Determine Individual Risk
•Durability: Movement Efficiency
•Performance Enhancement
functionalmovement.com
start with functional Movement Screening!!!!
• Demonstrate Movement Limitations and Asymmetries
• Create a Filter for Movement Dysfunction
• Avoid Putting Fitness on Dysfunction
• Focus on Most Limited Area
functionalmovement.com
How do/did we start.... Sequential Development
Rolling, prone on elbows, crawling, kneeling, half-kneeling, squatting, standing, stepping.....
functionalmovement.com
Neuromuscular Control Problems?
• During functional multi-joint movements a relatively stiffer joint or muscle tends to resist movement, but function is maintained by a another joint increasing to compensate...
M. Comerford
functionalmovement.com
Stability/Stability/Mobility Mobility
ImbalanceImbalancePain
Results in Inefficient/Compensatory Movement!!!!!!
What makes Movement Dysfunctional???
1.Squatting2.Stepping3.Lunging4.Reaching5.Leg raising6.Push-up7.Rotary Stability
LETS GET STARTED: CHECK MOVEMENTS
A Baseline for
Movement
MovementPerformance
Skill
The Functional Performance Pyramid
Cook ‘04
Proprioception Flexibility Mobility/Stability
Plyometric PowerStrength
SpeedAgility
Categorize Individual/Group Needs?
functionalmovement.com
The Functional Movement Screen ™
• • Designed as a Designed as a screening tool screening tool performed on performed on individuals without individuals without recognized recognized pathology. pathology. • • Not a diagnostic Not a diagnostic tool.tool.
functionalmovement.com
The Functional Movement Screen
functionalmovement.com
FMS FMS ™™…...Deep Squat III…...Deep Squat III
••Upper torso is parallel Upper torso is parallel with tibia with tibia
••Femur below horizontalFemur below horizontal
••Knees aligned over feetKnees aligned over feet
••Dowel aligned over feetDowel aligned over feet
functionalmovement.com
FMS FMS ™™..… Hurdle Step III..… Hurdle Step III
••Hips, knees, and Hips, knees, and ankles remain aligned ankles remain aligned in the sagittal plane in the sagittal plane
••Minimal to no lumbar Minimal to no lumbar spine movementspine movement
••Dowel and hurdle Dowel and hurdle remain parallelremain parallel
functionalmovement.com
FMS FMS ™™.... In-Line Lunge III.... In-Line Lunge III
••Minimal to no torso Minimal to no torso movementmovement
••Feet remain aligned in Feet remain aligned in sagittal planesagittal plane
••Knee touches 2x6 Knee touches 2x6 behind heel of front behind heel of front foot foot
functionalmovement.com
FMS FMS ™...™... Shoulder Mobility III Shoulder Mobility III
• Fist placement is Fist placement is within one within one hand length apart hand length apart
functionalmovement.com
FMS FMS ™™...... Active Straight Leg Raise III...... Active Straight Leg Raise III
Ankle/Dowel Ankle/Dowel resides past resides past mid-thighmid-thigh
functionalmovement.com
FMS ™...…Trunk Stability Push-Up IIIFMS ™...…Trunk Stability Push-Up III
•Males perform Males perform 1 repetition with 1 repetition with thumbs just thumbs just above foreheadabove forehead
•Females Females perform 1 perform 1 repetition with repetition with thumbs in-line thumbs in-line with chinwith chin
functionalmovement.com
FMS FMS ™ ™ .. Rotary Stability III.. Rotary Stability III• Performs 1 unilateral repetition while Performs 1 unilateral repetition while
keeping torso parallel to board and keeping keeping torso parallel to board and keeping elbow and knee in line with the boardelbow and knee in line with the board
functionalmovement.com
FMS SCORING SHEETSCREEN
Deep Squat
Hurdle Step
In-Line Lunge
Shoulder Mobility
Active Straight Leg Raise
Trunk Stability Push-Up
Rotary Stability
RAW SCORER/L
_____2______
____3_/_2___
____2_/_2___
____3_/_2___
____2_/_2___
_____3______
____2_/_2___TOTAL
FINAL SCORE
______2_____
______2_____
______2_____
______2_____
______2_____
______3_____
______2_____ 15
functionalmovement.com
DS HS ILL SM ASLR TSPU RS
DS HS ILL SM ASLR TSPU RS
functionalmovement.com
What has the FMS shown Us???
Reliable tool that can quickly and easily administered in any setting
Can be used as a tool to identify who is at risk for injury within certain population groups
The FMS can be improved with interventions
****Currently we have over 10 Research Articles Validating the usefulness of the FMS System for
Exercise Professionals****
functionalmovement.com
Overall Workers Comp Cost: Orange Co. Fire Service
Provided by Mike Contreras, CSCS
functionalmovement.com
Total Number of Employees: Orange Co. Fire Service
Provided by Mike Contreras, CSCS
functionalmovement.com
Cost Due to Time Lost from Injury
Provided by Body Motion
functionalmovement.com
Any Questions????